and i was at johns hopkins just north of here and just to see the energy for change. i mean, i think there's really this powerful movement out there that people want to change the system, that people want to fix this problem. and then a week later we screened at the pentagon hosted by the u.s. arm surgeon general. she said this is going to propel us to change how we practice medicine in the miltrifment that's powerful stuff. and what i'm most optimistic about is that we -- i don't know if we can wait for change to happen in washington. i don't know if we can wait for national change. what i'm most optimistic about is change happening at a local level. community by community, hospital by hospital, clinic by clinic. >> final clip for our discussion. dr. martin back and dr. nissen from the cleveland clinic. >> the commercials on television why we need to wait we can just take a pill right now. >> when i watched the networks half are for pharmaceutical agents. that isn't true in canada, not true in united kingdom france or germany. the only other country new zealand. wher